Tynbil: Know the *real* price for healthcare services

Idaho rates for HCPCS 99427

Principal care management services, for a single high-risk disease, with the following required elements: one complex chronic condition expected to last at least 3 months, and that places the patient at significant risk of hospitalization, acute exacerbation/decompensation, functional decline, or death, the condition requires development, monitoring, or revision of disease-specific care plan, the condition requires frequent adjustments in the medication regimen and/or the management of the condition is unusually complex due to comorbidities, ongoing communication and care coordination between relevant practitioners furnishing care; each additional 30 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (List separately in addition to code for primary procedure)

Insurance Carrier	Facility/Professional	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.57 / $44.06 / $65.28	Professional	$31.57	$44.06	$65.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.58 / $60.86 / $86.81	Professional	$45.58	$60.86	$86.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.67 / $48.89 / $69.50	Facility	$32.67	$48.89	$69.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.58 / $81.22 / $100.92	Professional	$56.58	$81.22	$100.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.35 / $82.86 / $98.90	Professional	$47.35	$82.86	$98.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.11 / $60.56 / $81.22	Professional	$50.11	$60.56	$81.22
United Facility/Professional Professional Modifier Low / Median / High Price $51.80 / $65.79 / $95.21	Professional	$51.80	$65.79	$95.21